Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.86 / $2,065.50 / $18,829.59	Facility		$1,181.86	$2,065.50	$18,829.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.85 / $11,337.40 / $18,919.50	Professional		$908.85	$11,337.40	$18,919.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $607.49 / $607.49 / $6,967.54	Professional		$607.49	$607.49	$6,967.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,900.26 / $17,147.15 / $30,511.05	Facility		$7,900.26	$17,147.15	$30,511.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.38 / $3,009.97 / $17,184.54	Professional		$745.38	$3,009.97	$17,184.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.58 / $1,190.14 / $18,682.71	Professional		$901.58	$1,190.14	$18,682.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $759.29 / $10,603.35 / $20,583.66	Professional		$759.29	$10,603.35	$20,583.66
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $655.77 / $759.29 / $10,603.35	Professional		$655.77	$759.29	$10,603.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $11,989.94	Professional		$32.34	$32.34	$11,989.94
United Facility/Professional Professional Modifier Low / Median / High Price $11,156.31 / $15,993.52 / $25,010.92	Professional		$11,156.31	$15,993.52	$25,010.92